摘要
近年来,中医的郁证,相当于现代医学的抑郁障碍,患病率呈上升趋势。总结出肝失疏泄,脾失运化,心神失养,脏腑阴阳气血失调是郁病总的发病机理;辨证论治可分为肝气郁结、肝郁化火、痰气郁结、心脾两虚、心阴亏虚、肝肾阴虚六型来治疗。魏睦新教授认为治疗本病,应先疏肝解郁,再兼顾其他,要运用中医的整体观念,辨病与辨证结合,同时应结合西医的优势,运用现代化的检测手段及心理疗法、针灸疗法以及饮食调理。中西医结合,既克服了纯西药的副作用,又可缩短病程,增强患者同疾病作斗争的信心。
The incidence of melancholia in traditional Chinese medicine, similar to depressive disorder in western medicine, is in a rising trend recently. We think the pathogenesis of melancholia is as follows ： Not liver freely distributing, loss of transportation and digestion of spleen, loss nourishment of the mind, disorders of the Yin Yang Qi and Xue in Zang and Fu Organs. So accordingly, the syndrome differentiation and treatment can be classified as follows： Liver Qi stagnation, pathogenic fire derived from stagnation of Liver - QI, depressive stagnation of phlegm and Qi, deficiency of both heart and spleen, deficiency of heart Yin, Yin deficiency of liver and kidney. Professor WEI Mu - Xin says the first step in the treatment is to relieve the depressed liver, and than consider the other factors. We should apply the concept of wholism and the principle of combining syndrome differentiation and disease differentiation into practice. Meanwhile, we should take advantage of the strengths of the western medicine, making use of the modern examination tools. Psychotherapy, acupuncture and diet therapy are also the ways we can resort to. So the integral therapies of chinese and western medicine have definite curative effect, which not only avoids the side effects of the western medicine, but also shortens the therapy course that encourages patients confidently to fight with the disease.
出处
《中华中医药学刊》
CAS
2009年第6期1232-1234,共3页
Chinese Archives of Traditional Chinese Medicine
基金
江苏省六大高峰人才专项基金资助项目(07-B-015)
关键词
郁证
肝郁
辨证论治
中西医结合
其他疗法
melancholia
liver depression
syndrome differentiation and treatment
the integration of chinese and western medicine
the other therapies
